Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.48 / $456.48 / $527.03	Facility		$456.48	$456.48	$527.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $238.37 / $576.16	Professional		$139.68	$238.37	$576.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.56 / $1,084.56 / $1,084.56	Facility		$1,084.56	$1,084.56	$1,084.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.71 / $486.22 / $627.09	Professional		$358.71	$486.22	$627.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.24 / $493.21 / $527.75	Professional		$221.24	$493.21	$527.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.83 / $447.35 / $646.07	Facility		$312.83	$447.35	$646.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $310.20 / $354.92 / $620.13	Professional		$310.20	$354.92	$620.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $293.39 / $413.36 / $469.20	Facility		$293.39	$413.36	$469.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $245.84 / $245.84	Professional		$245.84	$245.84	$245.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $439.20 / $525.55 / $725.65	Facility		$439.20	$525.55	$725.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.68 / $484.66 / $584.51	Professional		$309.68	$484.66	$584.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,037.60 / $1,258.55 / $1,551.28	Facility		$1,037.60	$1,258.55	$1,551.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $384.30 / $494.02 / $577.98	Professional		$384.30	$494.02	$577.98
United Facility/Professional Professional Modifier Low / Median / High Price $190.50 / $222.24 / $641.88	Professional		$190.50	$222.24	$641.88